| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.44 | $104.28 | $109.60 | |
BCBS
| Professional | $111.00 | $111.00 | $111.00 | |
Cigna
| Professional | $60.08 | $60.08 | $91.05 | |
United
| Professional | $41.63 | $57.74 | $75.09 |
Contact Lens Hydrophilic Spherical Per Lens (Special Coverage Instructions Apply. See Cim: 45-7 65-1)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.44 | $104.28 | $109.60 | |
BCBS
| Professional | $111.00 | $111.00 | $111.00 | |
Cigna
| Professional | $60.08 | $60.08 | $91.05 | |
United
| Professional | $41.63 | $57.74 | $75.09 |